MICHAEL GENE CORREALE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

First Name

MICHAEL GENE

Last Name

CORREALE

Suffix

DMD

Business Name

MICHAEL GENE CORREALE DMD

Original Issue Date

01/01/1998

Expiration Date

09/30/1998

City

SWANSEA

State

Zip

62221

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005